151 lines
5.1 KiB
YAML
151 lines
5.1 KiB
YAML
abstract: 'Objectives: In 2015, the Georgia (US) legislature implemented a
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gestational limit, or ``ban{''''} on abortion at or beyond 22 weeks from
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the last menstrual period. In this study, we qualitatively examined
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abortion provider perspectives on the ban''s impact on abortion care
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access and provision.Study design: Between May 2018 and September 2019,
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we conducted in-depth individual interviews with 20 abortion providers
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(clinicians, staff, and administrators) from four clinics in Georgia.
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Interviews explored perceptions of and experiences with the ban and its
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effects on abortion care. Team members coded tran-scripts to 100\%
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agreement using an iterative, group consensus process, and conducted a
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thematic analysis.Results: Participants reported strict adherence to the
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ban and also its negative consequences: additional labor plus
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service-delivery restrictions, legally constructed risks for providers,
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intrusion into the provider-patient relationship, and impact of limited
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services felt by patients and, thus, providers. Participants commonly
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mentioned disparities in the ban''s impact and viewed the ban as
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disproportionately affecting people of color, those experiencing
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financial insecurity, and those with underlying medical conditions.
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Nonetheless, participants described a clear, unrelenting commitment to
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providing quality patient-centered care and dedication to and
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satisfaction in their work. Conclusions: Georgia''s ban operates as
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legislative interference, adversely affecting the provision of quality,
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patient-centered abortion care, despite providers'' resilience and
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commitment. These experiences in Georgia have timely and clear
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implications for the entire country following the Supreme Court''s
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decision to overturn Roe v Wade, thus reducing care access and
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increasing negative health and social consequences and in-equities for
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patients and communities on a national scale. Implications: Our findings
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from Georgia (US) indicate an urgent need for coordinated efforts to
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challenge the Dobbs v Jackson Women''s Health Organization decision and
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for proactive policies that protect access to later abortion care.
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Research that identifies strategies for supporting providers and
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patients faced with continuing restrictive legal environments is
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warranted.\& COPY; 2023 The Authors. Published by Elsevier Inc. This is
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an open access article under the CC BY-NC-ND license
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(http://creativecommons.org/licenses/by-nc-nd/4.0/).'
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affiliation: 'Hartwig, SA (Corresponding Author), Ctr Reprod Hlth Res Southeast RISE,
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Atlanta, GA 30322 USA.
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Hartwig, SA (Corresponding Author), Emory Univ, Rollins Sch Publ Hlth, Atlanta,
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GA 30322 USA.
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Hartwig, Sophie A.; Youm, Awa; Contreras, Alyssa; Mosley, Elizabeth A.; McCloud,
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Candace; Carroll, Erin; Lathrop, Eva; Cwiak, Carrie; Hall, Kelli Stidham, Ctr Reprod
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Hlth Res Southeast RISE, Atlanta, GA 30322 USA.
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Hartwig, Sophie A.; Youm, Awa; Contreras, Alyssa; Mosley, Elizabeth A.; McCloud,
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Candace; Lathrop, Eva; Cwiak, Carrie; Hall, Kelli Stidham, Emory Univ, Rollins Sch
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Publ Hlth, Atlanta, GA 30322 USA.
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Goedken, Peggy; Lathrop, Eva; Cwiak, Carrie; Hall, Kelli Stidham, Emory Univ, Sch
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Med, Dept Gynecol \& Obstet, Atlanta, GA USA.
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Carroll, Erin, Univ Alabama Birmingham, Dept Hlth Care Org \& Policy, Birmingham,
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AL USA.
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Mosley, Elizabeth A., Univ Pittsburgh, Ctr Innovat Res Gender Hlth Equ CONVERGE,
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Sch Med, Div Gen Internal Med, 230 McKee Pl, Pittsburgh, PA 15213 USA.
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Lathrop, Eva, PSI, 1120 19th St,NW, Washington, DC 20036 USA.
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Hall, Kelli Stidham, Columbia Univ, Mailman Sch Publ Hlth, 60 Haven Ave,B3 312,
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New York, NY 10032 USA.'
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article-number: '110059'
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author: Hartwig, Sophie A. and Youm, Awa and Contreras, Alyssa and Mosley, Elizabeth
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A. and McCloud, Candace and Goedken, Peggy and Carroll, Erin and Lathrop, Eva and
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Cwiak, Carrie and Hall, Kelli Stidham
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author-email: sophie.anne.hartwig@emory.edu
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author_list:
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- family: Hartwig
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given: Sophie A.
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- family: Youm
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given: Awa
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- family: Contreras
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given: Alyssa
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- family: Mosley
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given: Elizabeth A.
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- family: McCloud
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given: Candace
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- family: Goedken
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given: Peggy
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- family: Carroll
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given: Erin
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- family: Lathrop
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given: Eva
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- family: Cwiak
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given: Carrie
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- family: Hall
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given: Kelli Stidham
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da: '2023-09-28'
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doi: 10.1016/j.contraception.2023.110059
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earlyaccessdate: JUL 2023
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eissn: 1879-0518
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files: []
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issn: 0010-7824
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journal: CONTRACEPTION
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keywords: 'Abortion; Abortion clinic; Abortion policy; Health care delivery;
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Qualitative research; United States'
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keywords-plus: CONSTANT COMPARATIVE METHOD; HEALTH; WOMEN; LAW
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language: English
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month: AUG
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number-of-cited-references: '31'
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orcid-numbers: Hartwig, Sophie/0000-0003-3044-8220
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papis_id: 6ef6bf23f2d1bcee48f175138e1d2ddc
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ref: Hartwig2023rightthing
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times-cited: '0'
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title: '``The right thing to do would be to provide care ... and we can''t″: Provider
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experiences with Georgia''s 22-week abortion ban ...'
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type: article
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unique-id: WOS:001038762400001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '0'
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volume: '124'
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web-of-science-categories: Obstetrics \& Gynecology
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year: '2023'
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